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Fourth Annual Symposium Series on Excellence in Teaching Undergraduate Science and Mathematics: National and Chicago Perspectives February 8, 2002 symposium—Northeastern Illinois University March 8, 2002 symposium—University of Illinois at Chicago April 29, 2002 symposium—DePaul University, Lincoln Park Campus Registration Form Name __________________________________________ Position ________________________________________ Institution _______________________________________ Department/Discipline ______________________________ Address _________________________________________ City _____________________________ State ________ Zip _____________ E-mail address ___________________________________ Telephone ___________________________________ Fax ______________________________________ ___ I would
like all future communication sent via e-mail.
Registration for the full series or for individual symposia.
Regular ($35) __________, Student ($15) __________ Regular ($35) __________, Student ($15) __________ Regular ($35) __________, Student ($15) __________ Dinner is included as part of the symposium. __________ I would like a vegetarian dinner. Payment:
Please mail
to:
Please use a separate form for each participant. Duplicate as necessary. |
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